The themes identified here were ‘counselling pre-surgery on psychosexual concerns.’ A theme of couples access as part of counselling was also identified (Table 64.1).

‘Early initiation to Cialis and Vacuum pump devices, but also open access to GPs as part of GP education on early prescribing is needed.’—HCP 1.

‘A standardised pathway is clearly required.’—HCP 1.

‘Penile rehabilitation with physical rehabilitation, psychological rehabilitation and medical management should form part of this, however, a clear plan of implementation is required.’—HCP2.

‘It is very necessary but thought to logistics and resources are required.’—HCP 3.

‘Family are often worried about them being cured from cancer, and this is a lower priority.’—HCP4.

Table 64.1

Code 5: Service improvement and topic development

Healthcare Professional Quote using Identity (HCP) numbers

Components of pathway

‘A joint clinic with a psychosexual counsellor and a specialist nurse.’—HCP 5

Components of pathway

Dedicated Specialist nurse, psychosexual counsellor, CCG input.’—HCP6

Requirement and components of pathway

‘ED clinics are a way of delivering care really directly as part of a routine service.’ ‘We need to address PDE5 inhibitors prescriptions at hospital.’—HCP 7

It was also felt that early initiation of therapy was the key.

In conclusion, by the healthcare professionals involved, there was felt with to be a significant lack in psychosexual care, with several contributory factors including resource issues. However, again it was felt, that a pathway would be a significant addition to support psychosexual care. The recommendations for this pathway based on the systematic review, patient focus group and healthcare professional interviews are as follows below.